Sec. 101. Telehealth and remote patient monitoring services bridge demonstration waivers
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bridge demonstration waivers Title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq. ) is amended by adding at the end the following new section: bridge demonstration waivers Subject to the succeeding provisions of this subsection, the Secretary shall solicit proposals from, and issue telehealth or remote patient monitoring services bridge demonstration waivers under this title to, eligible applicants who, for the duration of time for which the demonstration waiver would apply, are furnishing telehealth or remote patient monitoring services (as defined in section 1861(iii)) to individuals under this title in a manner that is consistent with the goals of the Merit-based Incentive Payment System under section 1848(q), including the goals of quality, resource utilization, and clinical practice improvement (including care coordination and patient engagement), or the incentive payments for participation in eligible alternative payment models under section 1833(z).
In this section, the term eligible applicant means the following: A professional described in section 1848(q)(1)(C)(i)(I). A qualifying APM participant (as defined in section 1833(z)(2)). Any other provider, including a professional described in section 1848(q)(1)(C)(i)(II), determined appropriate by the Secretary, and a group that includes such providers. An eligible applicant seeking a demonstration waiver under this section shall submit an application to the Secretary on an annual basis that includes the following:
An attestation of the intent of the applicant to use telehealth or remote patient monitoring services to meet the goals described in subsection (a)(1), and details (as specified by the Secretary) on how the eligible applicant will use those services to meet such goals. An agreement by the applicant to— submit the information described in subsection
(d)in accordance with such subsection; and cooperate in any audit conducted under subsection
(e)with respect to claims for telehealth or remote patient monitoring services furnished by the applicant under the waiver. The Secretary shall waive certain applicable provisions of sections 1834(m) and 1861(iii) as a condition of payment for telehealth or remote patient monitoring services for eligible applicants whose application for a demonstration waiver was approved under this section. The provisions to be waived under the preceding sentence include any limitation on what qualifies as an originating site, any geographic limitation (subject to State licensing requirements), any limitation on the use of store-and-forward technologies, or any limitation on the type of health care provider who may furnish such services (provided the provider is a Medicare enrolled provider). The Secretary shall permit an eligible applicant whose application for a demonstration waiver was approved under this section to furnish telehealth or remote patient monitoring services under the general supervision of the applicant. An eligible applicant whose application for a demonstration waiver under this section was approved shall, on an annual basis, submit to the Secretary— information requested by the Secretary for evaluation of the demonstration, including information on utilization and expenditures for telehealth or remote patient monitoring services under the demonstration waiver during the preceding year; data on applicable quality measures during the preceding year, consistent with sections 1848 and 1833(z); and such other information as the Secretary determines is necessary to complete the report under subsection (g). The Secretary shall conduct audits of randomly selected claims under the demonstration waiver program under this section to ensure that waivers under the program are being used as intended to furnish telehealth or remote patient monitoring services. Except as provided in paragraph (2), the authority to carry out the demonstration waiver program under this section shall expire on December 31, 2019. Taking into account the report under subsection (g), the Secretary may, through rulemaking, expand (including implementation on a nationwide basis) the duration and the scope of the demonstration waiver program under this section, to the extent determined appropriate by the Secretary, if— the Secretary determines that such expansion is expected to— reduce spending under this title without reducing the quality of care; or improve the quality of patient care without increasing spending; the Chief Actuary of the Centers for Medicare & Medicaid Services certifies that such expansion would reduce (or would not result in any increase in) net program spending under this title; and the Secretary determines that such expansion would not deny or limit the coverage or provision of benefits under this title for individuals. Not later than December 31, 2020, the Chief Actuary of the Centers for Medicare & Medicaid Services shall submit to Congress a report containing an evaluation of the impact of telehealth and remote patient monitoring services under the demonstration waiver program on— spending under this title; and achieving the additional MIPS adjustment factors for exceptional performance described in section 1848(q)(6)(C) and incentive payments for participation in eligible alternative payment models described in section 1833(z)(1). .
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Sec. 101
Telehealth and remote patient monitoring services bridge demonstration waivers
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